Mu 01b-CBVC

UBND THNH PH HI PHNG

TRNG I HC HI PHNG

CNG HA X HI CH NGHA VIT NAM

c lp - T do - Hnh phc

PHIU NH GI CN B, VIN CHC HNG NM

(Cn b, chuyn vin, nhn vin phc v)
Nm hc: 20 20
H v tn:. M s: ........
Ngy, thng, nm sinh: Trnh chuyn mn:........
Chc v:... Ngch bc lng:
n v cng tc: ...
I. T NHN XT KT QU CNG TC, TU DNG RN LUYN

1. Chp hnh chnh sch, php lut ca Nh nc (5 im): Bn thn v gia nh

trong vic chp hnh ch trng chnh sch ca Nh nc tt hay khng tt, c vi
phm g khng, bn thn CBVC c gng mu trong vic chp hnh khng?
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2. Kt qu cng tc (30 im):
a) Thc hin nhim v c giao (25 im):
- Khi lng cng vic, mc hon thnh, cht lng, tin , hiu qu (20)
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- Nhng xut, cng vic tham mu c chp nhn v thc hin (5)
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Mu 01b-CBVC

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- Nhng vn cn tn ng, cng vic c giao nhng cha hon thnh (nu r
nguyn nhn)
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b) Cac sng kin, ci tin c p dng trong cng vic mang li hiu qu; tham
gia cng tc NCKH (5 im)
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3. Tinh thn k lut (10 im) (Bo m ngy cng, gi cng lm vic theo quy
nh; chp hnh s phn cng ca c quan, n v; thc hin ni quy, quy ch, quy
nh ca c quan, n v; chp hnh k lut lao ng):
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4. Tinh thn phi hp trong cng tc (5 im) (Phi hp cng tc vi ng nghip,
vi cc t chc, n v trong v ngoi trng):
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5. Tnh trung thc trong cng tc (5 im) (C lm vic ht trch nhim i vi
chc v, chc danh v nhng vic c phn cng hay khng? Bo co, cung cp
thng tin c chnh xc khng?):
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Mu 01b-CBVC

6. Li sng o c (10 im) (Quan h vi ng nghip, trong gia nh v qun

chng xung quanh; tinh thn on kt, tng tr, gip ng nghip; sinh hot lnh
mnh, gin d, tit kim)
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7. Tinh thn hc tp nng cao trnh (10 im):
- Trong nm hc tp bi dng, t hc nng cao v lnh vc g, d nhng lp hc tp hun
no? Thi gian?
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- Nhng kin thc thuc lnh vc c nng cao?

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8. Tinh thn v thi phc v (5 im): Vi ng nghip, HSSV; cc t chc,
n v trong v ngoi trng
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* T nh gi: Tng im...............; xp loi:.................................
(Loi Xut sc: 72; Loi Kh t 56-71; Loi Trung bnh: 40-55; loi Km <40)
Hi Phng, ngy..... thng..... nm 20
Ngi t nhn xt
(K v ghi r h tn)

Mu 01b-CBVC

II. KIN CA TP TH N V

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III. KT QU TNG HP XP LOI CNG CHC:

(Phn ny do Lnh o n v trc tip ghi)

STT

Ni dung

im
Quy
nh

Chp hnh chnh sch php lut ca Nh nc

Kt qu cng tc

30

Tinh thn k lut

10

Tinh thn phi hp trong cng tc

Tnh trung thc trong cng tc

Li sng o c

10

Tinh thn hc tp nng cao trnh

10

Tinh thn thi phc v nhn dn

Tng im

Xp
loi

Ghi
ch

nh
gi

80

(Loi Xut sc: 72; Loi Kh t 56-71; Loi Trung bnh: 40-55; loi Km <40)
Kt lun: CBVC t loi .......................

HIU TRNG
(K v ng du)

Mu 01b-CBVC

Hi Phng, ngythngnm 20
Lnh o n v trc tip nh gi
(K v ghi r h tn)